| NPI | 1821129461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE EANES Addiction Counselor 410-893-7743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD AC0570) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-08-13 |